HNY Policy and Pathway Repository - North Yorkshire

Non-specific symptoms rapid diagnostic centre pathway

None provided - Suspicion of cancer / patient meets referral criteria

• 1st level filter tests + check for obvious abnormality – if so referral to appropriate route
• GP referral to RDC via eRS – provisional appointment made / ED via WebICE
• Patient given RDC information leaflet

None provided

Non-specific symptoms rapid diagnostic centre pathway

Day 0 to 2

• GP or ED consultation
• Suspicion of cancer or patient meets referral criteria
• 1st level filter tests + check for obvious abnormality – if so referral to appropriate route
• GP referral to RDC via eRS – provisional appointment made / ED via WebICE
• Patient given RDC information leaflet
• Referral triaged by RDC clinical team
• If rejected advise given regarding more appropriate route
• If accepted appointment confirmed with patient
• Telephone triage with patient prior to clinic
• Results / symptoms reviewed and decision made re. additional testing / imaging and requests submitted as appropriate

Day 2 to 10

• All existing test and imaging results reviewed
• Patient attends RDC clinic
• Full clinical history / examination takes place
• 2nd level filter tests as appropriate

Day 10 to 15

• Patient discussed at weekly RDC MDT
• Treatment / referral / further tests / plan discussed and agreed
• If indicated urgent referral to other 2ww pathway arranged
• Patient advised of outcome / plan

Day 28

• Ensure patient is formally communicated to advise of cancer / non-cancer diagnosis – FDS date recorded
• Patient communicated with throughout journey

Day n+

• Patient confirmed for discharge from RDC pathway with one of following:
  • Site specific cancer – refer to 62day pathway
  • Significant illness – refer to appropriate specialty
  • No evidence of cancer – discharge to GP

• Patient communicated with throughout journey

• South Tees Hospitals